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The existing Practice regarding the Application of Acoustic Cues in the Treatment of Elderly Patients with Dementia - a Scoped Literature Review

Amazu, Amanda (2019) The existing Practice regarding the Application of Acoustic Cues in the Treatment of Elderly Patients with Dementia - a Scoped Literature Review.

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Abstract:Background: The number of people afflicted by age-related diseases like dementia and who therefore require medical attention is steadily growing worldwide. In addition to cognitive impairments, psychological and behavioural disturbances form as well an integral part of dementia syndromes and non-pharmacological therapies for the treatment of those, are moving increasingly into the focus of the clinical spectrum. Previous studies indicated that music coaching might be beneficial to improve psychological and behavioural symptoms. Therefore, this scoped literature review aims to explore the current literature to gain an insight into the existing practice in the application of acoustic cues in elderly care regarding the treatment of psychological and behavioural disturbances of dementia. Methods: An electronic search on Scopus was conducted. Search keywords regarding music therapy, auditory cueing, dementia, and behavioural symptoms were searched in the MeSH (Medical Subject Headings) databases and were combined in a search string. For to the inclusion criteria, the PICOC-framework was utilized. Results: 269 potential studies were initially identified which were supposed to address the research topic. Out of these 269 initial papers, 15 selected studies could finally be identified. The 15 studies included seven randomized control studies, one case series, one controlled clinical study, four meta-analyses, one systematic review and one literature review. Conclusion: The scoped review revealed, that in elderly care the most commonly acoustic cues used were provided either in the form of active and live- or passive acoustic reproduction. Live acoustic cues often contained a mix of musical elements like melodies, sounds, tones, rhythms reproduced mostly improvised by a music facilitator using instrumental references or the human voice. Regarding passive acoustic cues, music songs tend to be played by a recorder, but also pre-recorded conversations which are not based on music but solely on the human voice were identified as acoustic cues. Moreover, the majority of the studies have shown improvements in relation to BPSD symptoms. In relation to the effects of specific acoustic cues, personalized and generic cues have been able to characterize effects but no difference in the effectiveness regarding the application of generic vs. personalized acoustic cues could be determined.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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